| |
311 W Palmetto St, Florence, SC 29501-4417 | |
(843) 662-2811 | |
(843) 662-6377 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 311 W Palmetto St, Florence, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194904631 | NPI | - | NPPES |
GCH160 | Medicaid | SC |
Provider Name | Scott A Ratamess |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1710926613 PECOS PAC ID: 7911947080 Enrollment ID: I20120329000608 |
Provider Name | Gene S Harrison |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366500019 PECOS PAC ID: 0840450573 Enrollment ID: I20210120002434 |
Provider Name | Dorie Weaver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548984958 PECOS PAC ID: 3072971274 Enrollment ID: I20230621000344 |
Mailing Address | Practice Location Address |
---|---|
311 W Palmetto St, Florence, SC 29501-4417 Ph: (843) 662-2811 | 311 W Palmetto St, Florence, SC 29501-4417 Ph: (843) 662-2811 |